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Healthcare Automation Tackling Part D - And Winning
Warwick, RI (March 31, 2006) -
Healthcare Automation, Inc. (HAI) is pleased to announce the readiness of its products and services
to deal with the new regulations imposed on the home infusion industry by Medicare Part D. "We're
well-prepared to deal with the demands of this new program," says Ken Pereira, CEO. "With our
software and experienced reimbursement staff, HAI has the expertise and technology to help our
clients manage the Part D labyrinth."
Medicare Part D is a prescription drug program offered to all Medicare beneficiaries
that went into effect Jan. 1, 2006. The program was designed as a retail drug benefit, but it
applies to the home infusion industry as well. Part D has a huge impact on the home infusion industry,
as it covers medications only and not supplies, services or any equipment required for the delivery
of those medications, which are traditionally billed by home infusion providers via an additional per
diem fee. Those elements of the home infusion service that are not covered will have to be covered
by a secondary payer or by the beneficiary, complicating the billing process. Providers need to
immediately adjudicate their prescriptions with Medicare and split their billing between payers.
That's where HomecareNet, HAI's state-of-the-art software, comes in. "We have
the ability to adjudicate easily split charges between payers and claims in HomecareNet," says
Jennifer Keiser, General Manager of software and HomecareNet's chief architect. "These capabilities
are key to any organization providing pharmacy services to home infusion patients, whether covered
by Medicare, Medicaids or private payers."
In addition to its split-billing capabilities, HomecareNet also offers additional
features that are instrumental to facilitate Medicare Part D patients, including:
- Tracking and revenue/cost recognition by payer, contract, therapy, specific items with
drill-down profitability reporting and analysis that allows the provider to assess the
viability of continued participation
- Sophisticated billing for denial features
- Ability to build payer specific formularies, with pop-up warnings about non-covered items
- Ability to automatically bill pharmacy dispensing fees
- Real-time adjudication using NCPDP 5.1, to seamlessly obtain real-time approval or
rejection of dispensed drugs prior to delivery
"We've been in business since 1988," says Pereira. "We understand the industry
well and we see how regulatory changes impact home infusion companies. Our team is on top of the
regulations and rules so our customers can accept these patients with ease."
"HAI's Reimbursement Center staff is a necessary complement to our customers,"
says Jeanne Lugli, General Manager of reimbursement services. "With our Medicare expertise, we
are always researching and documenting any change in the reimbursement landscape and Part D is
no exception." Healthcare Automation's team of professionals has years of experience with Medicare
and insurance billing and is able to skillfully support HAI clients' requirements to maximize
reimbursement.
"We're very proud to provide our clients with added value during this time of
industry upheaval," says Pereira. "We consider ourselves partners to our clients. Their success
is our success."
Healthcare Automation, Inc. (
www.healthcare-automation.com) provides software and reimbursement services to home infusion
and DME providers and home health and hospice agencies. Headquartered in Warwick, RI, with
operations in Andover, MA, and Atlanta, GA, the company employs software specialists, engineers,
clinicians and reimbursement experts to meet today's homecare needs. To learn more about HAI's
software or reimbursement services, contact HAI at (800) 738-8850 or at
sales@healthcare-automation.com.
Visit www.healthcare-automation.com for
additional information.
For more information, contact:
Jane Girard
Marketing Manager
(401) 572-3268
jgirard@healthcare-automation.com
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